Provider Demographics
NPI:1972603058
Name:PARTNERS IN RADIOLOGY L L C
Entity Type:Organization
Organization Name:PARTNERS IN RADIOLOGY L L C
Other - Org Name:SOUTH FLORIDA DIAGNOSTIC IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LLERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-270-6001
Mailing Address - Street 1:11801 SW 90TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2182
Mailing Address - Country:US
Mailing Address - Phone:305-270-6001
Mailing Address - Fax:305-270-6955
Practice Address - Street 1:11801 SW 90TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-270-6001
Practice Address - Fax:305-270-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 3882261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN
FL=========OtherEIN